Individual provider Active NPI

Carrie L Cole, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1821369067
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.818 Issued in AL
Practice address
3536 Vann Rd Ste B
Birmingham, AL 35235-3207
Phone
(205) 838-3356
Fax
(205) 838-3357
NPI assigned
Jan 19, 2012
Reactivated
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.818 AL Primary

Addresses

Primary practice location

3536 Vann Rd Ste B
Birmingham, AL 35235-3207

Mailing address

3536 Vann Rd Ste B
Birmingham, AL 35235-3207
Phone (058) 383-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000621 AL Practitioner - Physician Assistant 3678730272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Internal Medicine PCGroup PAC ID 3577508084, 3 clinicians

Practice addresses (Care Compare)

3536 Vann Rd
Suite B
Birmingham, AL 35235-3207
Phone (205) 838-3200

Hospital & facility affiliations

  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.818ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Clinics, LLC PastSince Apr 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carrie.cole.1@9069.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1821369067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "058-383-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "205-838-3356",
            "fax_number": "205-838-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-02-26",
        "deactivation_date": "2019-09-19",
        "reactivation_date": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.